Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $393.28 / $7,920.26 / $20,400.00	Facility		$393.28	$7,920.26	$20,400.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $182.33 / $217.39 / $727.52	Facility	52	$182.33	$217.39	$727.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.50 / $538.65 / $1,572.17	Professional		$171.50	$538.65	$1,572.17
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $90.61 / $453.81 / $1,701.97	Professional	52	$90.61	$453.81	$1,701.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $312.14 / $560.26 / $1,604.62	Professional		$312.14	$560.26	$1,604.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $334.86 / $491.99 / $1,411.00	Professional		$334.86	$491.99	$1,411.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $243.23 / $540.11 / $1,508.73	Facility		$243.23	$540.11	$1,508.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $283.93 / $908.92 / $1,717.11	Professional		$283.93	$908.92	$1,717.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $356.44 / $1,064.38 / $1,205.79	Facility		$356.44	$1,064.38	$1,205.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $243.23 / $907.62 / $1,529.99	Facility		$243.23	$907.62	$1,529.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $339.20 / $732.24 / $1,741.95	Professional		$339.20	$732.24	$1,741.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,811.13 / $10,179.44 / $11,932.41	Facility		$7,811.13	$10,179.44	$11,932.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $342.47 / $609.51 / $1,689.39	Professional		$342.47	$609.51	$1,689.39
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $930.28 / $1,252.30 / $1,879.29	Professional		$930.28	$1,252.30	$1,879.29